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Ortho Practical

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Quiz on Ortho Practical, created by Kylee McCluskey on 04/09/2019.
Kylee McCluskey
Quiz by Kylee McCluskey, updated more than 1 year ago
Kylee McCluskey
Created by Kylee McCluskey over 5 years ago
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Resource summary

Question 1

Question
Which tissues are implicated in a sulcus sign test at 0 degrees?
Answer
  • Superior Capsule
  • Inferior Capsule
  • SGHL
  • ROT Interval
  • IGHL

Question 2

Question
If you discover hypomobility while testing for instability what treatments can be done?
Answer
  • Mobilizations
  • Stretching
  • Bracing
  • Surgical Stabilization
  • Theraputic Exercise

Question 3

Question
What is the normal amount of movement expected from a sulcus sign test?
Answer
  • 8 mm
  • 11 mm
  • 9 mm

Question 4

Question
The sulcus sign test is a special test used identify multidirectional instability.
Answer
  • True
  • False

Question 5

Question
The sulcus sign test at 90 degrees is used to test for instability of the superior capsule.
Answer
  • True
  • False

Question 6

Question
What tissues are implicated in an anteriorload and shift test?
Answer
  • Posterior Capsule
  • Anterior Capsule
  • Anterior Ligaments
  • Posterior Ligaments

Question 7

Question
What treatments can be utilized if a patient has hypermobility in their shoulder due to instability?
Answer
  • Theraputic Exercise
  • Stretching
  • Bracing
  • Surgical Stabilization
  • Mobilizations

Question 8

Question
Which of the choices below would indicate that a patient is positive for instability of the shoulder?
Answer
  • Pain
  • Hypomobility
  • Hypermobility
  • Locking
  • Apprehension
  • Clicking
  • Grating/Crepitus

Question 9

Question
Which of the following is not a normal amount of movement for the test?
Answer
  • Sulcus sign: ~11 mm
  • Anterior Load & Shift: ~ 8 mm
  • Anterior Load & Shift: ~7 mm
  • Posterior Load & Shift: ~9 mm

Question 10

Question
Which of the following are associated with SLAP (Superior Labrum Anterior to Posterior) Lesions and Long Head Biceps?
Answer
  • MOI: macro-traumatic injury
  • MOI: micro-traumatic injury
  • MOI: eccentric deceleration history of activities
  • c/o pain "deep" or "in" shoulder
  • c/o of lateral pain
  • pseudo-locking/locking
  • reptitive clicking/clunking

Question 11

Question
Which of the following are treatments that can be utilized for a SLAP lesion or LHB?
Answer
  • Therapeutic Exercise
  • Mobilizations
  • Stretching
  • Modalities
  • Surgery (Tenotomy, Tenodesis)
  • Bracing

Question 12

Question
Which test is conducted with the GH joint at 45 degrees to test for a SLAP lesion?
Answer
  • Anterior Slide Test
  • Speed's Test
  • Compression-Rotation
  • O'Brien's Test
  • Posterior Slide Test

Question 13

Question
Which test is used to determine if the patient has an ant sup-ecc. dec. SLAP lesion?
Answer
  • Speed's Test
  • Anterior Slide Test
  • Compression-Rotation
  • Posterior Slide Test
  • O'Brien's Test

Question 14

Question
If a test is conducted with suspicions that the patient has a SLAP lesion or LHB condition which of the following findings would be positive?
Answer
  • Deep Pain
  • Hypomobility
  • Locking/Pseudo-Locking
  • Hypermobility
  • Reptitive Clicking/Clunking

Question 15

Question
Which test is used to determine if the patient has a post sup-peel back SLAP lesion?
Answer
  • Anterior Slide Test
  • Posterior Slide Test
  • Speed's Test
  • O'Brien's Test

Question 16

Question
A Speed's Test has been conducted. Which of the following appropriately match the test finding with the musculoskeletal problem? (Check all that apply)
Answer
  • Deep c/o pain: SLAP Lesion
  • Sup c/o pain: AC
  • Ant c/o pain: LHB
  • Post c/o pain: LHB

Question 17

Question
An O'Brien's Test has been conducted. Which of the following appropriately match the test finding with the musculoskeletal problem? (Check all that apply)
Answer
  • Deep c/o pain: SLAP Lesion
  • Ant c/o pain: LHB
  • Sup c/o pain: AC
  • Post c/o pain: LHB

Question 18

Question
Which tissues are implicated in Yergason's Test?
Answer
  • AC Joint
  • LHB, THL
  • Anterior Capsule
  • Supraspinatus

Question 19

Question
Which of the following are associated with a pathology of the long head of the biceps?
Answer
  • MOI: eccentric deceleration history
  • Pain to palpation
  • Pain "deep" in shoulder
  • C/o pain in ant shoulder

Question 20

Question
Which of the following would be considered postivie test findings for a LHB pathology?
Answer
  • Pain
  • Grating/Crepitus
  • Locking/Pseudo-Locking
  • Subluxation of LHB

Question 21

Question
Which of the following is NOT associated with an AC joint pathology?
Answer
  • Age over 40 y.o.
  • MOI: macrotrauma to superior shoulder
  • MOI: CKC (closed kinetic chain) position
  • c/o pain "on top" of shoulder
  • c/o pain to AC palpation
  • c/o pain with cross-over or overhead activities
  • asymmetrical deformities of AC
  • MOI: eccentric deceleration history

Question 22

Question
Which of the following is not a positive test finding for an AC joint pathology?
Answer
  • Pain
  • Hypomobility
  • Hypermobility
  • Grating/Crepitus
  • Locking/Pseudo-Locking

Question 23

Question
Which of the following are associated with RTC impingements? (Check all that apply)
Answer
  • Age over 40 y.o.
  • Repetitive overhead activities
  • Overuse of arm in unaccustomed activities
  • c/o pain in lateral aspect of shoulder
  • c/o pain at night
  • c/o painful arc syndrome
  • painful arc during active ROM
  • compensatory shoulder shrug sign
  • eccentric deceleration history of activities

Question 24

Question
What does the Neer Test test for?
Answer
  • RTC impingement of the supraspinatus and LHB
  • RTC impingement of the supraspinatus
  • RTC impingment of the LHB and subscapularis
  • RTC impingment of the infrapsinatus and teres minor

Question 25

Question
What does the Hawkins-Kennedy Test test for?
Answer
  • RTC impingement: Supraspinatus
  • RTC impingement: Supraspinatus and LHB
  • RTC impingement: Infraspinatus and Teres Minor
  • RTC impingement: Subscapularis and LHB

Question 26

Question
Which of the following are treatment options for a hypomobile- primary RTC impingement?
Answer
  • mobilizations/stretching
  • TERT
  • surgery: capsular shift
  • surgery: acromioplasty
  • therapeutic exercise
  • bracing

Question 27

Question
Which of the following are possible treatment options for a hypermobile- secondary RTC impingement?
Answer
  • Modalities
  • Therapeutic Exercise
  • TERT
  • Surgical Stabilization: Capsular Shift
  • Stretching

Question 28

Question
Which of the following are positive test findings for rotator cuff impingements?
Answer
  • Pain
  • Grating/Crepitus
  • Looseness
  • Painful Arc
  • Weakness-pain inhibition

Question 29

Question
Which of the following are associated with rotator cuff tears?
Answer
  • over 40 y.o.
  • macro-traumatic injury w/ functional disability
  • idiopathic onset
  • c/o pain lateral arm
  • c/o dull constant ache in shoulder
  • c/o night pain, often wake up
  • compensatory shoulder shrug
  • c/o pain anterior arm

Question 30

Question
Which of the following does the ERLS (external rotation lag sign) 1 test for?
Answer
  • RTC tear of supraspinatus
  • RTC tear of infraspinatus
  • RTC tear of subscapularis
  • RTC tear of teres minor

Question 31

Question
Which of the following does ERLS (external rotation lag sign) 2 test for?
Answer
  • RTC tear of infraspinatus
  • RTC tear of supraspinatus
  • RTC tear of subscapularis
  • RTC tear of teres minor

Question 32

Question
Which of the following does the 90/90 lag sign test for?
Answer
  • RTC tear of infraspinatus
  • RTC tear of supraspinatus
  • RTC tear of subscapularis
  • RTC tear of teres minor

Question 33

Question
Which of the following does the 90/90 lag sign 2 test for?
Answer
  • RTC tear of infraspinatus
  • RTC tear of supraspinatus
  • RTC tear of subscapularis
  • RTC tear of teres minor

Question 34

Question
Which of the following does the IRLS (internal rotation lag sign) test for?
Answer
  • RTC tear of infraspinatus
  • RTC tear of supraspinatus
  • RTC tear of subscapularis
  • RTC tear of teres minor

Question 35

Question
Which of the following are positive test findings for a rotator cuff tear?
Answer
  • pain
  • grating/crepitus
  • lag sign
  • weakness
  • locking/pseudo-locking

Question 36

Question
A change of 10 degrees or greater from the predetermined position in a lag sign test is indicative of a full thickness RTC tear.
Answer
  • True
  • False

Question 37

Question
A 4 to 10 degree lag from the predetermined position in a lag sign test is indicative of a partial RTC tear.
Answer
  • True
  • False

Question 38

Question
What does the apprehension test check for?
Answer
  • Anterior instability (macro-traumatic)
  • Anterior instability (micro-traumatic)
  • Internal impingement syndrome
  • Posterior instability

Question 39

Question
Which of the following are associated with macro-traumatic anterior instability?
Answer
  • macro-traumatic ant/inf injury
  • hx of recurrent subluxations
  • c/o dead arm syndrome
  • positive apprehension test
  • repetitive overhead activities
  • c/o pain w/ overhead activities

Question 40

Question
Which of the following tissues are implicated in the apprehension test?
Answer
  • anterior capsule
  • posterior capsule
  • IGHL
  • SGHL

Question 41

Question
Which of the following does the Jobe subluxation/relocation test check for?
Answer
  • anterior instability (micro-traumatic)
  • internal impingement syndrome
  • posterior instability
  • bankart lesions
  • anterior instability (macro-traumatic)

Question 42

Question
Which of the following are associated with microtraumatic anterior instability?
Answer
  • age less than 30 y.o.
  • repetitive overhead activities
  • c/o pain w/ overhead activities
  • no overt signs of instability
  • c/o click/clunk in shoulder
  • sensations of shoulder weakness
  • hx of recurrent subluxations
  • c/o dead arm syndrome

Question 43

Question
Which of the following are associated with internal impingement syndrome?
Answer
  • specific c/o pain in the posterior shoulder inf to post-lat acromion
  • horizontal extension motion
  • painful arc syndrome
  • c/o pain w/ overhead activities

Question 44

Question
Which of the following are positive test findings for internal impingement syndrome?
Answer
  • posterior pain
  • hypermobility
  • hypomobility
  • apprehension
  • deep pain

Question 45

Question
Which of the following are associated with posterior instability?
Answer
  • MOI: macrotrauma to cause posterior trauma
  • Hx of volitional subluxation
  • c/o posterior shoulder pain
  • patient can volitionally sublux shoulder
  • c/o click/clunk
  • c/o pain anterior or "deep" in shoulder
  • sensation of shoulder weakness

Question 46

Question
Which of the following does the posterior glide test 1 and 2 check for?
Answer
  • posterior instability
  • bankart lesion
  • SLAP lesion
  • anterior instability

Question 47

Question
Which of the following are positive test findings for posterior instability?
Answer
  • pain
  • hypermobility
  • apprehension
  • hypomobility
  • repetitive clicking/clunking

Question 48

Question
Which of the following are associated with bankart/SLAP lesions?
Answer
  • hx of macrotrauma
  • hx of recurrent subluxations
  • c/o pain in anterior or "deep" shoulder
  • c/o click/clunk
  • sensation of pseudo-locking
  • hx of volitional subluxation

Question 49

Question
Which of the following do the clunk tests and crank test check for?
Answer
  • bankart lesions
  • SLAP lesions
  • posterior instability
  • RTC tears
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